FRI0534 Physical Activity, Overweight, and Leisure Time Activity in a Cohort of Juvenile Idiopathic Arthritis Patients

Background The influence of physical activity (PA) and fitness (PF) at older ages on changes in telomere length (TL), repetitive DNA sequences that may mark biologic aging, are not well established. Prior studies in older adults were cross-sectional, and few evaluated PF. Aim To investigate both cross-sectional and prospective associations of PA and PF with Leukocyte TL in older adults. Methods Among 582 adults age 73±5 y at baseline in CHS having serial LTL measures (leucocyte mean terminal restriction length) in 1992 and 1997, PA (walking pace, blocks, combined walking score; leisure time activity) and PF (15-ft walk, chair stands, grip strength) were assessed multiple times from 1989 to 1997. Cross-sectional associations were assessed using multivariable repeated-measures regression of cumulative average serial PA and PF measures from 1989 to 1992 against LTL in 1992; and cumulative averaged PA and PF from 1993 to 1997 against LTL in 1997. Longitudinal analyses assessed cumulative averaged PA and PF from 1989-92 against later changes in LTL from 1992-97; and changes in cumulative averaged PA and PF from 1989-92 to 1993-97 against changes in LTL from 1992-97. We evaluated all subjects, those without poor/fair self-reported health, and those without limited ADLs. Results Cross-sectionally, greater walking distance and chair test performance, but not other PA and PF measures, each associated with longer LTL ( P trend 0.007, 0.04 respectively). Lab measures of DNA integrity suggested measurable degradation that markedly attenuates ability to detect differences in LTL changes over time, especially over only 5 y. For example, baseline PA and PF from 1989-92 were unassociated with later changes in LTL. In contrast, changes in leisure time activity and chair test performance from 1992-97 were each inversely associated with LTL shortening. Conclusions Even late in life, certain PA and PF metrics are associated with longer LTL cross-sectionally and, even with likely substantial measurement error, with less LTL shortening over time.

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Educational differentials in domain specific physical activity by ethnicity, age, and gender: findings from over 44,000 participants in The UK Household Longitudinal Study (2013-2015)

10.1101/19002105 ◽

2019 ◽

Author(s):

Meg E Fluharty ◽

Snehal M Pinto Perira ◽

Michaela Benzeval ◽

Mark Hamer ◽

Barbara Jefferis ◽

...

Keyword(s):

Physical Activity ◽

Educational Attainment ◽

Sex Education ◽

Leisure Time ◽

Active Travel ◽

Occupational Activity ◽

Activity Levels ◽

Time Activity ◽

Leisure Time Activity ◽

The Uk

AbstractBackgroundThe prevalence of overall physical inactivity remains high, particularly amongst socioeconomically disadvantaged groups. It is unclear however if such inequalities vary systematically by age, sex, or ethnicity, and if there are differing effects across physical activity (PA) domains.MethodsWe used data from a nationally representative survey of the UK, Understanding Society, with information on educational attainment (our indicator of socioeconomic position), PA and demographics collected in 2013-2015 (N= 44,903). Logistic regression analyses were conducted to test associations of education with three different PA domains (active travel, occupational and leisure time). To examine modification of the associations between education and physical activity in each domain by sex, age and ethnicity, we tested two-way interaction terms (education x ethnicity; education x sex; education x age).ResultsLower educational attainment was associated with higher active transportation and occupational physical activity, but lower weekly leisure-time activity. These associations were modified by sex, ethnicity, and age. For example, education-related differences in active travel were larger for females (difference in predicted probability of activity between highest and lowest educational groups: −10% in females, (95% CI: −11.9, 7.9) −3% in males (−4.8, −0.4). The education-related differences in occupational activity were larger among males −35% (−36.9, −32.4) than females −17% (−19.4, −15.0). Finally, education related differences in moderate to vigorous leisure time activity varied most substantially by ethnicity; for example, differences were 17% (16.2, 18.7) for White individuals compared with 6% (0.6, 11.6) for Black individuals.ConclusionsEducational differences in PA vary by domain, and are modified by age, sex, and ethnicity. A better understanding of physically inactive sub-groups may aid development of tailored interventions to increase activity levels and reduce health inequalities.

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Mediation of the Relationship of Acculturation With Glycemic Control in Asian Americans With Diabetes

American Journal of Health Promotion ◽

10.1177/08901171211052562 ◽

2021 ◽

pp. 089011712110525

Author(s):

Namrata Sanjeevi

Keyword(s):

Physical Activity ◽

Glycemic Control ◽

Asian Americans ◽

Asian American ◽

Leisure Time ◽

Healthcare Access ◽

Cardiometabolic Health ◽

Cross Sectional ◽

Time Activity ◽

Leisure Time Activity

Purpose To assess the role of physical activity and healthcare access in mediating the association of acculturation with cardiometabolic health in Asian American adults with diabetes. Design Cross-sectional study. Setting National Health and Nutrition Examination Survey (NHANES) 2011–2018. Subjects Non-pregnant Asian American adults with doctor diagnosed diabetes. Measures Participants were classified into low, moderate, and high acculturation status. Self-reported leisure-time, work, and transportation-based physical activity were summed for overall physical activity. Health insurance, frequency of healthcare receipt, and glycohemoglobin (HbA1c) check in the past year indicated healthcare access. Cardiometabolic health indicators included HbA1c, total and high density lipoprotein-cholesterol, and systolic and diastolic blood pressure. Analysis Linear and logistic regression estimates, standardized using y-standardization, and assessed mediation of acculturation with cardiometabolic health. Results Low acculturation was significantly related to greater leisure-time inactivity odds [OR (95% CI) = 2.25 (1.05, 4.82)], overall insufficient activity [OR (95% CI) = 2.30 (1.12, 4.74)], and uninsured status [OR (95% CI) = 5.62 (1.55, 20.41)]. Asian Americans with low acculturation had significantly higher log HbA1c than those with high acculturation ( β ± SE = .078 ± .038); however, this association was not significant after adjusting for leisure-time activity. Leisure-time activity mediated 48.9% of acculturation and HbA1c association, and the indirect effect was statistically significant [estimate (95% CI) = .021 (.002, 0.047)]. Conclusions Results suggest that promoting sufficient leisure-time activity could improve glycemic control in least acculturated Asian Americans with diabetes.

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QuickStats: Percentage of Adults Who Met Federal Guidelines for Aerobic Physical Activity Through Leisure-Time Activity,* by Race/Ethnicity — National Health Interview Survey,† 2008–2017

MMWR Morbidity and Mortality Weekly Report ◽

10.15585/mmwr.mm6812a6 ◽

2019 ◽

Vol 68 (12) ◽

pp. 292 ◽

Cited By ~ 1

Keyword(s):

Physical Activity ◽

National Health ◽

National Health Interview Survey ◽

Leisure Time ◽

Time Activity ◽

Leisure Time Activity ◽

Health Interview Survey ◽

Interview Survey ◽

Race Ethnicity ◽

Federal Guidelines

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Physical activity and the risk of heart failure: a systematic review and dose–response meta-analysis of prospective studies

European Journal of Epidemiology ◽

10.1007/s10654-020-00693-6 ◽

2020 ◽

Author(s):

Dagfinn Aune ◽

Sabrina Schlesinger ◽

Michael F. Leitzmann ◽

Serena Tonstad ◽

Teresa Norat ◽

...

Keyword(s):

Physical Activity ◽

Heart Failure ◽

Cardiorespiratory Fitness ◽

Dose Response ◽

Leisure Time ◽

Meta Analysis ◽

Total Physical Activity ◽

Occupational Activity ◽

Time Activity ◽

Leisure Time Activity

AbstractAlthough physical activity is an established protective factor for cardiovascular diseases such as ischemic heart disease and stroke, less is known with regard to the association between specific domains of physical activity and heart failure, as well as the association between cardiorespiratory fitness and heart failure. We conducted a systematic review and meta-analysis of prospective observational studies to clarify the relations of total physical activity, domains of physical activity and cardiorespiratory fitness to risk of heart failure. PubMed and Embase databases were searched up to January 14th, 2020. Summary relative risks (RRs) were calculated using random effects models. Twenty-nine prospective studies (36 publications) were included in the review. The summary RRs for high versus low levels were 0.77 (95% CI 0.70–0.85, I2 = 49%, n = 7) for total physical activity, 0.74 (95% CI 0.68–0.81, I2 = 88.1%, n = 16) for leisure-time activity, 0.66 (95% CI 0.59–0.74, I2 = 0%, n = 2) for vigorous activity, 0.81 (95% CI 0.69–0.94, I2 = 86%, n = 3) for walking and bicycling combined, 0.90 (95% CI 0.86–0.95, I2 = 0%, n = 3) for occupational activity, and 0.31 (95% CI 0.19–0.49, I2 = 96%, n = 6) for cardiorespiratory fitness. In dose–response analyses, the summary RRs were 0.89 (95% CI 0.83–0.95, I2 = 67%, n = 4) per 20 MET-hours per day of total activity and 0.71 (95% CI 0.65–0.78, I2 = 85%, n = 11) per 20 MET-hours per week of leisure-time activity. Nonlinear associations were observed in both analyses with a flattening of the dose–response curve at 15–20 MET-hours/week for leisure-time activity. These findings suggest that high levels of total physical activity, leisure-time activity, vigorous activity, occupational activity, walking and bicycling combined and cardiorespiratory fitness are associated with reduced risk of developing heart failure.

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The Stanford Leisure-Time Activity Categorical Item (L-Cat): a single categorical item sensitive to physical activity changes in overweight/obese women

International Journal of Obesity ◽

10.1038/ijo.2013.36 ◽

2013 ◽

Vol 37 (12) ◽

pp. 1597-1602 ◽

Cited By ~ 35

Author(s):

M Kiernan ◽

D E Schoffman ◽

K Lee ◽

S D Brown ◽

J M Fair ◽

...

Keyword(s):

Physical Activity ◽

Leisure Time ◽

Obese Women ◽

Time Activity ◽

Leisure Time Activity

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Integrative Exercise and Lifestyle Intervention Increases Leisure-Time Activity in Breast Cancer Patients

Integrative Cancer Therapies ◽

10.1177/1534735414541962 ◽

2014 ◽

Vol 13 (6) ◽

pp. 493-501 ◽

Cited By ~ 8

Author(s):

Soraya Casla ◽

Pernille Hojman ◽

Ricardo Cubedo ◽

Isabel Calvo ◽

Javier Sampedro ◽

...

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Cancer Patients ◽

Functional Capacity ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Lifestyle Changes ◽

Breast Cancer Patients ◽

Time Activity ◽

Leisure Time Activity

Background. Physical activity has been demonstrated to increase survival in breast cancer patients, but few breast cancer patients meet the general recommendations for physical activity. The aim of this pilot study was to investigate if a supervised integrated counseling and group-based exercise program could increase leisure-time activity in women with breast cancer. Methods. This pilot project, designed as a single-arm study with pre-post testing, consisted of 24 classes of combined aerobic and strength exercise training as well as classes on dietary and health behavior. A total of 48 women with breast cancer who were undergoing or had recently completed anticancer treatment completed the study. Leisure-time physical activity, grip strength, functional capacity, quality of life (QoL), and depression were assessed at baseline, after intervention, and at the 12-week follow-up after intervention. Results. The breast cancer patients increased their leisure-time physical activity ( P = .004), global strength ( P = .004), functional capacity ( P = .001), and QoL ( P = .009), and their depression score ( P = .004) significantly decreased. These improvements were independent of whether the patients were in ongoing therapy or had completed their treatment. Conclusion. This integrated intervention may produce lifestyle changes in breast cancer patients and survivors using the teachable moment to increase their leisure-time physical activity and, thereby, their QoL.

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Relationships between Sport, Work and Leisure-Time Physical Activity among Lithuanian University Students

Baltic Journal of Sport and Health Sciences ◽

10.33607/bjshs.v2i81.327 ◽

2018 ◽

Vol 2 (81) ◽

Author(s):

Brigita Miežienė ◽

Laimutis Šiupšinskas ◽

Rasa Jankauskienė

Keyword(s):

Physical Activity ◽

Energy Expenditure ◽

University Students ◽

Leisure Time ◽

Sport Activity ◽

Habitual Physical Activity ◽

Related Activity ◽

Time Activity ◽

Leisure Time Activity ◽

Time Domains

Research background and hypothesis. Other than sport physical activity which occurs in occupational, leisure and domestic sectors is often overlooked, meanwhile it also affects health. Previous research revealed that energy expenditure in occupational, domestic and leisure-time domains may inﬂ uence energy expenditure in sports or exercising domain. University students are understudied population in this area. We expected that lower work and leisure-time activity among university students would be associated with their higher sports related activity. Research aim was to examine relationships between sport, work and leisure-time activities in a sample of university students. Research methods. The ﬁ nal sample consisted of 867 students from four Lithuanian universities, 195 (22.5%) were males, their age ranged from 18 to 22 years. Baecke Questionnaire of Habitual Activity (Baecke et al., 1982) was used to assess work, leisure-time and sport physical activity. Research results. Male students scored signiﬁ cantly higher than female in work and sport activity (p < 0.0001), but not in leisure-time activity (p = 0.61). Males and females who were more active in their occupational domain were also twice more active in sports-related activities (OR = 2.22 [95% CI 1.25–3.93] and OR = 2.14 [95% CI, 1.50–3.04] respectively). Females who were more active in leisure-time domain were almost twice more active in sports-related activities (OR = 1.65 [95% CI 1.22–2.21]) as well. Discussion and conclusions. Analysis of the relationships between sports, work and leisure-time physical activities did not conﬁ rm our expectation. The results of the current study revealed that lower physical activity in occupational or leisure-time domains did not determine higher sports related physical activity. Sports-related activity and physical activity in other domains can coexist together in the population of students and possibly depends on variables which inﬂ uence them all. In further research, the broader set of variables inﬂ uencing university students’ habitual physical activity should be taken into account.Keywords: habitual physical activity, physical activity domains, occupation of university students.

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